{"id":138,"date":"2020-11-13T13:54:57","date_gmt":"2020-11-13T18:54:57","guid":{"rendered":"https:\/\/www.pineinstrument.com\/?page_id=138"},"modified":"2020-11-13T13:54:57","modified_gmt":"2020-11-13T18:54:57","slug":"self-identification-form","status":"publish","type":"page","link":"https:\/\/www.pineinstrument.com\/self-identification-form\/","title":{"rendered":"Self-Identification Form"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Self-Identification Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/wp-json\/wp\/v2\/pages\/138\/' data-formid='3' novalidate>\n        <div id='gf_progressbar_wrapper_3' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_1\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_1\" >In order to comply with federal equal opportunity recordkeeping and other reporting requirements, <strong>PINE<\/strong> asks all applicants to provide us with certain demographic information. Providing this information is strictly voluntary and will be kept confidential and separate from any resumes or other material submitted. It will not be used in determining employment at <strong>PINE<\/strong>. If you prefer to have a <a href=\"https:\/\/www.pineinstrument.com\/wp-content\/uploads\/2023\/05\/PIC_SelfIdentify2023-1.pdf\">printable PDF copy of this form, click here to download that<\/a>.<\/li><li id=\"field_3_2\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_2\" ><strong>PINE<\/strong> believes all persons are entitled to equal employment opportunities and does not discriminate against its employees or applicants for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information or any other characteristic protected by law.<\/li><li id=\"field_3_3\" class=\"gfield gfield--type-html self-id-form-intro-text3 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_3\" ><div style=\"font-weight: bold;background-color: #cccccc !important;padding: 3px\">IMPORTANT NOTE: COMPLETION OF THIS DATA IS VOLUNTARY AND WILL NOT AFFECT EMPLOYMENT DECISIONS OR SUBJECT YOU TO ANY ADVERSE TREATMENT.<\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--section gfield--medium\"  data-field-class=\"gfield--section gfield--medium\" data-js-reload=\"field_3_4\" ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_3_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--medium\"  data-field-class=\"gfield--radio gfield--medium\" data-js-reload=\"field_3_5\" ><label class='gfield_label gform-field-label' >Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_5'>\n\t\t\t<li class='gchoice gchoice_3_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Male'  id='choice_3_5_0'    \/>\n\t\t\t\t<label for='choice_3_5_0' id='label_3_5_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='Female'  id='choice_3_5_1'    \/>\n\t\t\t\t<label for='choice_3_5_1' id='label_3_5_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_6\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_6\" ><strong>RACE\/ETHNIC DATA CLASSIFICATIONS<\/strong><br \/>\nIn completing the Race\/Ethnicity portion of the form, first indicate if you so identify yourself as Hispanic or Latino. If you do so identify yourself, you should stop at that point and go on to the next section regarding veteran status. If you do not identify as Hispanic or Latino, then check the appropriate box to identify the race\/ethnicity with which you do identify. If you identify with two or more races, please check the \u201ctwo or more race\u201d box, and also list the single race\/ethnic group with which you most identify.<\/li><li id=\"field_3_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--medium\"  data-field-class=\"gfield--checkbox gfield--medium\" data-js-reload=\"field_3_7\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please check ONE box below to identify yourself according to the classification definitions provided.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_7'><li class='gchoice gchoice_3_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Hispanic'  id='choice_3_7_1'   aria-describedby=\"gfield_description_3_7\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_1' id='label_3_7_1' class='gform-field-label gform-field-label--type-inline'>Hispanic: Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish Culture or origin, regardless of race.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='White (Not Hispanic or Latino)'  id='choice_3_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_2' id='label_3_7_2' class='gform-field-label gform-field-label--type-inline'>White (Not Hispanic or Latino): A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_7_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.3' type='checkbox'  value='Black or African American'  id='choice_3_7_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_3' id='label_3_7_3' class='gform-field-label gform-field-label--type-inline'>Black or African American (Not Hispanic or Latino): A person having origins in any of the Black racial groups of Africa.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_7_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.4' type='checkbox'  value='Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino):'  id='choice_3_7_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_4' id='label_3_7_4' class='gform-field-label gform-field-label--type-inline'>Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the Hawaii, Guam, Samoa, or other Pacific Islands.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_7_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.5' type='checkbox'  value='Asian (Not Hispanic or Latino)'  id='choice_3_7_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_5' id='label_3_7_5' class='gform-field-label gform-field-label--type-inline'>Asian (Not Hispanic or Latino): Persons having origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, including =, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam., etc.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_7_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.6' type='checkbox'  value='American Indian \/ Alaskan Native (Not Hispanic or Latino)'  id='choice_3_7_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_6' id='label_3_7_6' class='gform-field-label gform-field-label--type-inline'>American Indian \/ Alaskan Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North or South America who maintains tribal affiliation or community attachment.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_7_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.7' type='checkbox'  value='Two or More Races (Not Hispanic or Latino)'  id='choice_3_7_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_7_7' id='label_3_7_7' class='gform-field-label gform-field-label--type-inline'>Two or More Races (Not Hispanic or Latino): All persons who identify with more than one of the above six racial\/ethnic groups.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_3_7'><strong>Please list the single race\/ethnic group with which you most identify from the classifications provided above.<\/strong><\/div><\/li><li id=\"field_3_8\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_8\" >PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond\nto a collection of information unless such collection displays a valid OMB control number. This survey should take about 5\nminutes to complete.<\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3_15' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' data-js='page-field-id-15' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_9\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_9\" ><p>This employer is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:\n<\/p>\n<p>\nA \u201c<em><strong>DISABLED VETERAN<\/strong><\/em>\u201d is one of the following:\n<\/p>\n<ul>\n  <li>a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs;<\/li>\n  <li>or a person who was discharged or released from active duty because of a service-connected disability.<\/li>\n<\/ul>\n<p>\nA \u201c<em><strong>RECENTLY SEPARATED VETERAN<\/strong><\/em>\u201d means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.<\/p> \n<p>\nAn \u201c<em><strong>ACTIVE DUTY WARTIME OR CAMPAIGN BADGE VETERAN<\/strong><\/em>\u201d means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.\n<\/p>\n<p>\nAn \u201c<em><strong>ARMED FORCES SERVICE MEDAL VETERAN<\/strong><\/em>\u201d means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.<\/p>\n<p>\nProtected veterans may have additional rights under USERRA\u2014the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.<\/p>\n<p>\nIf you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.\n<\/p>\n<p style=\"font-weight: bold\">\nIMPORTANT NOTE: Disclosure of your status as a covered veteran is voluntary. Choosing not to provide this information will not subject you to any adverse treatment.\n<\/p><\/li><li id=\"field_3_10\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--medium\"  data-field-class=\"gfield--radio gfield--medium\" data-js-reload=\"field_3_10\" ><label class='gfield_label gform-field-label screen-reader-text' ><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_10'>\n\t\t\t<li class='gchoice gchoice_3_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OFPROTECTED VETERAN LISTED ABOVE'  id='choice_3_10_0'    \/>\n\t\t\t\t<label for='choice_3_10_0' id='label_3_10_0' class='gform-field-label gform-field-label--type-inline'>IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OFPROTECTED VETERAN LISTED ABOVE<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='I AM NOT A PROTECTED VETERAN'  id='choice_3_10_1'    \/>\n\t\t\t\t<label for='choice_3_10_1' id='label_3_10_1' class='gform-field-label gform-field-label--type-inline'>I AM NOT A PROTECTED VETERAN<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_11\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_11\" ><strong>PINE\u2019S<\/strong> Affirmative Action Plan (AAP) is a set of specific results-oriented procedures to which we, as a Company, are committed. The procedures included in the Plan, coupled with our good faith efforts are designed to ensure equal employment opportunity and compliance with Affirmative Action obligations imposed by Section 503 of the Rehabilitation Act and the Vietnam Era Veterans Readjustment Assistance Act (38 U.S.C. 4212 et.seq).<\/li><li id=\"field_3_12\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_12\" >PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond\nto a collection of information unless such collection displays a valid OMB control number. This survey should take about 5\nminutes to complete.<\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_14' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_14' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' data-js='page-field-id-14' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_13\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_13\" >It is the policy of <strong>PINE<\/strong> to hire well-qualified individuals. An integral part of this policy is to provide equal employment opportunity for individuals with disabilities, disabled veterans, and veterans of the Vietnam Era with respect to recruiting, hiring, working conditions, benefits and privileges of employment, compensation, training, appointments for advancement including upgrading and promotion, transfers, and terminations of employment including layoff and recalls.<\/li><li id=\"field_3_16\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--checkbox gfield--medium\"  data-field-class=\"gfield--checkbox gfield--medium\" data-js-reload=\"field_3_16\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >DECLINE TO COMPLETE<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_16'><li class='gchoice gchoice_3_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='I do not wish to complete this questionnaire.'  id='choice_3_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_16_1' id='label_3_16_1' class='gform-field-label gform-field-label--type-inline'>I do not wish to complete this questionnaire.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_17\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--medium\"  data-field-class=\"gfield--text gfield--medium\" data-js-reload=\"field_3_17\" ><label class='gfield_label gform-field-label' for='input_3_17'>Job Applied For<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_3_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_23\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_23\" ><br \/><\/li><li id=\"field_3_18\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--medium\"  data-field-class=\"gfield--text gfield--medium\" data-js-reload=\"field_3_18\" ><label class='gfield_label gform-field-label' for='input_3_18'>Applicant Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_3_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_19\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--medium\"  data-field-class=\"gfield--date gfield--medium\" data-js-reload=\"field_3_19\" ><label class='gfield_label gform-field-label' for='input_3_19'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_19' id='input_3_19' type='text' value='05\/05\/2024' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='05\/05\/2024' aria-describedby=\"input_3_19_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_19_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_19' class='gform_hidden' value='https:\/\/www.pineinstrument.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_21\" class=\"gfield gfield--type-signature gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--signature gfield--medium\"  data-field-class=\"gfield--signature gfield--medium\" data-js-reload=\"field_3_21\" ><label class='gfield_label gform-field-label' for='input_3_21'>Applicant Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_3_21_Container' class='gfield_signature_container ginput_container' style='height:180px; width:380px; ' ><input type='hidden' class='gform_hidden' name='input_3_21_valid' id='input_3_21_valid' \/><canvas id='input_3_21' width='380' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_3_20\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--medium\"  data-field-class=\"gfield--date gfield--medium\" data-js-reload=\"field_3_20\" ><label class='gfield_label gform-field-label' for='input_3_20'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_20' id='input_3_20' type='text' value='05\/05\/2024' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='05\/05\/2024' aria-describedby=\"input_3_20_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_20_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_20' class='gform_hidden' value='https:\/\/www.pineinstrument.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_24\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_24\" >PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond\nto a collection of information unless such collection displays a valid OMB control number. This survey should take about 5\nminutes to complete.<\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_25' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_25' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"4\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"4\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_4' class='gform_page' data-js='page-field-id-25' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_26\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_26\" ><h2>Voluntary Self-Identification of Disability<\/h2>\n<div style=\"float: left\">\nForm CC-305\n<br \/>\nPage 1 of 1\n<\/div>\n<div style=\"float: right\">\nOMB Control Number 1250-0005\n<br \/>\nExpires 05\/31\/2023\n<\/div>\n<div style=\"clear: both\"><\/div><\/li><li id=\"field_3_27\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--medium\"  data-field-class=\"gfield--text gfield--medium\" data-js-reload=\"field_3_27\" ><label class='gfield_label gform-field-label' for='input_3_27'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_3_27' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_3_28\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--date gfield--medium\"  data-field-class=\"gfield--date gfield--medium\" data-js-reload=\"field_3_28\" ><label class='gfield_label gform-field-label' for='input_3_28'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_28' id='input_3_28' type='text' value='05\/05\/2024' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='05\/05\/2024' aria-describedby=\"input_3_28_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_3_28_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_28' class='gform_hidden' value='https:\/\/www.pineinstrument.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_3_29\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--text gfield--medium\"  data-field-class=\"gfield--text gfield--medium\" data-js-reload=\"field_3_29\" ><label class='gfield_label gform-field-label' for='input_3_29'>Employee ID:<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_3_29' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_29\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_3_29'>(if applicable)<\/div><\/li><li id=\"field_3_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--section gfield--medium\"  data-field-class=\"gfield--section gfield--medium\" data-js-reload=\"field_3_30\" ><h2 class=\"gsection_title\">Why are you being asked to complete this form?<\/h2><\/li><li id=\"field_3_31\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_31\" ><p>We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.<\/p>\n<p>Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor\u2019s Office of Federal Contract Compliance Programs (OFCCP) website at <a href=\"https:\/\/www.dol.gov\/ofccp\" target=\"_blank\" rel=\"noopener noreferrer\">www.dol.gov\/ofccp<\/a>.<\/p>\n<\/li><li id=\"field_3_32\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--section gfield--medium\"  data-field-class=\"gfield--section gfield--medium\" data-js-reload=\"field_3_32\" ><h2 class=\"gsection_title\">How do you know if you have a disability?<\/h2><\/li><li id=\"field_3_33\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_33\" ><p>You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to: (<strong>DO NOT MARK<\/strong>)<\/p>\n\n<ul class=\"gf_left_third\">\n<li>Alcohol or other substance use\ndisorder (not currently using\ndrugs illegally)<\/li>\n<li>Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV\/AIDS<\/li>\n<li>Blind or low vision<\/li>\n<li>Cancer (past or present)<\/li>\n<li>Cardiovascular or heart disease<\/li>\n<li>Celiac disease<\/li>\n<li>Cerebral palsy<\/li>\n<\/ul>\n\n<ul class=\"gf_middle_third\">\n<li>Deaf or serious difficulty\nhearing<\/li>\n<li>Diabetes<\/li>\n<li>Disfigurement, for example,\ndisfigurement caused by burns,\nwounds, accidents, or congenital\ndisorders<\/li>\n<li>Epilepsy or other seizure disorder<\/li>\n<li>Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome<\/li>\n<li>Intellectual or developmental disability<\/li>\n<li>Mental health conditions, for example,\ndepression, bipolar disorder, anxiety\ndisorder, schizophrenia, PTSD<\/li>\n<\/ul>\n\n<ul class=\"gf_right_third\">\n<li>Missing limbs or partially missing limbs<\/li>\n<li>Mobility impairment, benefiting from the\nuse of a wheelchair, scooter, walker,\nleg brace(s) and\/or other supports<\/li><li>Nervous system condition for example, migraine headaches, Parkinson\u2019s disease, or Multiple sclerosis (MS)<\/li>\n<li>Neurodivergence, for example,\nattention-deficit\/hyperactivity disorder\n(ADHD), autism spectrum disorder,\ndyslexia, dyspraxia, other learning\ndisabilities<\/li>\n<li>Partial or complete paralysis (any\ncause)<\/li>\n<li>Pulmonary or respiratory conditions, for\nexample, tuberculosis, asthma,\nemphysema<\/li>\n<li>Short stature (dwarfism)<\/li>\n<li>Traumatic brain injury<\/li>\n<\/ul><\/li><li id=\"field_3_35\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--radio gfield--medium\"  data-field-class=\"gfield--radio gfield--medium\" data-js-reload=\"field_3_35\" ><label class='gfield_label gform-field-label' >Please check one of the boxes below:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_35'>\n\t\t\t<li class='gchoice gchoice_3_35_0'>\n\t\t\t\t<input name='input_35' type='radio' value='Yes, I Have A Disability, Or Have A History\/Record Of Having A Disability'  id='choice_3_35_0'    \/>\n\t\t\t\t<label for='choice_3_35_0' id='label_3_35_0' class='gform-field-label gform-field-label--type-inline'>Yes, I Have A Disability, Or Have A History\/Record Of Having A Disability<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_35_1'>\n\t\t\t\t<input name='input_35' type='radio' value='No, I Don\u2019t Have A Disability, Or A History\/Record Of Having A Disability'  id='choice_3_35_1'    \/>\n\t\t\t\t<label for='choice_3_35_1' id='label_3_35_1' class='gform-field-label gform-field-label--type-inline'>No, I Don\u2019t Have A Disability, Or A History\/Record Of Having A Disability<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_35_2'>\n\t\t\t\t<input name='input_35' type='radio' value='I Don\u2019t Wish To Answer'  id='choice_3_35_2'    \/>\n\t\t\t\t<label for='choice_3_35_2' id='label_3_35_2' class='gform-field-label gform-field-label--type-inline'>I Don\u2019t Wish To Answer<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_22\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--captcha gfield--medium\"  data-field-class=\"gfield--captcha gfield--medium\" data-js-reload=\"field_3_22\" ><label class='gfield_label gform-field-label' for='input_3_22'>Please click the below box<\/label><div id='input_3_22' class='ginput_container ginput_recaptcha' data-sitekey='6LfFq-IZAAAAAASlZaFTePrGjoYbXq2EeWo1UcnK'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_3_36\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--html gfield--medium\"  data-field-class=\"gfield--html gfield--medium\" data-js-reload=\"field_3_36\" >PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond\nto a collection of information unless such collection displays a valid OMB control number. This survey should take about 5\nminutes to complete.<\/li><\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_3' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_3' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_3\"]){return false;}  if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} if( !jQuery(\"#gform_3\")[0].checkValidity || jQuery(\"#gform_3\")[0].checkValidity()){window[\"gf_submitting_3\"]=true;}  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='WyJbXSIsIjI1ZGIyNTc0YTcyZGE2Zjc5OGY4YmJiMWFmYzY5NjYwIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='2' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' 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